PEDIATRICS Vol. 43 No. 1 January 1969, pp. 19-25
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bowden, D. M.
Right arrow Articles by Rothenberg, M. B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bowden, D. M.
Right arrow Articles by Rothenberg, M. B.

COMPREHENSIVE CARE OF A MENTALLY RETARDED, ADOLESCENT HEMOPHILIAC WITH A TONGUE-BITING TIC

Douglas M. Bowden M.D.1 and Michael B. Rothenberg M.D.1

1 Department of Pediatrics and Division of Child Psychiatry at Albert Einstein College of Medicine-Bronx Municipal Hospital Center, New York City

A complex case of chronic tongue biting in a mentally retarded, adolescent hemophiliac is presented to demonstrate principles of comprehensive care. Problems arising out of (1) the psychosocial status of the child and parents, (2) psychodynamics of individual physicians, and (3) group dynamics of the medical team are described. Specific countermeasures are spelled out. Particular attention is given to the problems faced by clinic and ward pediatrics in dealing with chronic, life-threatening illness when continuous monitoring of psychogenic factors is essential to appropriate management.

Submitted on November 8, 1967
Accepted on July 17, 1968